MICURN5280

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1. Whats in your nurse purse?

   MICURN5280 posted a topic in Critical

   Just an off the wall question, and it may help newer nurses. What do you pack in your "nurse purse"? On a day to day basis what do you pack to work and keep readily available? Me... on my person i have my ears, a few flushes, pens, notepad , sm led...

2. CVVHDF for clearing Lactic Acid

   MICURN5280 posted a topic in Critical

   I had a 55/m post PEA arrest pH 6.6 and a lactate of 24 PTT >150 INR was too high to result. Temprature on arrival was 29 C. No significant neurological functions occasional myoclonic movement, pupils fixed at 4mm. CV wise SR with RBBB MAP holding...

3. Gambro Prisma CRRT 7.1

   MICURN5280 replied to ReneeYY54's topic in Critical

   Yes 7.1 gives the top of the hour fluid gain/removal. We use Epic and tally all I/Os q hour. You cant enter the intake of meds fluids etc in to the machine. If you give the pt fluid back by return ie CVVHDF mode than i think calculates the difference...

4. Swan-Ganz Usage

   MICURN5280 replied to Cvepo's topic in Critical

   Its rare to see a PA catheter in my unit maybe once a month. And even rarer to get it to wedge. We use the NICOM for our sepsis studies and flow tracs are more utilized with our trauma/surgical unit/patients.

5. New Graduate in ICU

   MICURN5280 replied to nicenurse01's topic in Critical

   I wasn't a New Grad in ICU but its "good" to have that overwhelming fear. I do and still do have the butterflies when i go in or get a new patient regardless of acuity, and thats also with 12 years EMS under my belt and my med surg/onc time. Its bet...